<!DOCTYPE html>
<html lang="zh-CN">
<head>
    <meta charset="utf-8">
    <meta name="viewport" content="width=device-width, initial-scale=1.0, user-scalable=no">
    <title>提现申请</title>
    <meta name="keywords" content="">
    <meta name="description" content="">
    <script src="__PUBLIC__/js/rem.js"></script> 
    <script src="__PUBLIC__/js/jquery.min.js" type="text/javascript"></script>
    <link rel="stylesheet" type="text/css" href="__PUBLIC__/css/base.css"/>
    <link rel="stylesheet" type="text/css" href="__PUBLIC__/css/page.css"/>
    <link rel="stylesheet" type="text/css" href="__PUBLIC__/css/all.css"/>
    <link rel="stylesheet" type="text/css" href="__PUBLIC__/css/mui.min.css"/>
    <link rel="stylesheet" type="text/css" href="__PUBLIC__/slick/slick.css"/>
</head>
<!--loading页开始-->
<div class="loading">
	<div class="loader">
        <div class="loader-inner pacman">
          <div></div>
          <div></div>
          <div></div>
          <div></div>
          <div></div>
        </div>
	</div>
</div>
<!--loading页结束-->
	<body>
		<div class="headertwo clearfloat" id="header">
			<a href="javascript:history.go(-1)" class="fl box-s"><i class="iconfont icon-arrow-l fl"></i></a>
			<p class="fl">提现申请</p>
		</div>
		
		<div class="modify clearfloat" id="main">
			<form action="__URL__/cash" method="post" class="cmxform" id="signupForm" enctype="multipart/form-data">
				<div class="modify clearfloat" id="main">
					<ul>
						<li class="clearfloat">
							<input type="text" value="<?php echo $user[0]['use_points']; ?>" readonly class="sname" />
						</li>						
						<li class="clearfloat">
							<input type="text" name="phone" id="phone" value="" placeholder="请输入你的手机号" class="sname" required minlength="11" maxlength="11"/>
						</li>
						<li class="clearfloat">
							<input type="text" name="number" id="number" value="" placeholder="请输入提现金额" class="syzma fl" required/>
						</li>
					</ul>
				</div>		
				<input type="submit" value="确认提交" class="pay-btn clearfloat">
			</form>
		</div>		
	</body>
	<script type="text/javascript" src="__PUBLIC__/js/jquery-1.8.3.min.js" ></script>
	<script type="text/javascript" src="__PUBLIC__/js/jquery.SuperSlide.2.1.js" ></script>
	<script type="text/javascript" src="__PUBLIC__/slick/slick.min.js" ></script>
	<script type="text/javascript" src="__PUBLIC__/js/jquery.leanModal.min.js"></script>
	<script type="text/javascript" src="__PUBLIC__/js/tchuang.js" ></script>
	<script type="text/javascript" src="__PUBLIC__/js/hmt.js" ></script>
</html>
